In a recent Truth Social post, former President Donald Trump has reignited his efforts to repeal and replace the Affordable Care Act (ACA) if he wins the 2024 presidential election. Trump, the leading GOP presidential candidate, expressed that he is "seriously looking at alternatives" to replace the ACA and deemed the failure to repeal the health law in 2017 as "a low point for the Republican Party."

During his time in office, Republicans came close to repealing the ACA, falling just one vote short in 2017 when the late Sen. John McCain (R-Ariz.) voted with Democrats to keep ObamaCare in place. Trump has consistently criticized and ridiculed McCain for his position, even after the senator's passing from brain cancer.

Democrats capitalized on the GOP's repeal efforts and took control of the House of Representatives in 2018, vowing to safeguard coverage for preexisting conditions. Consequently, Republicans have largely abandoned campaigning against the ACA, acknowledging that health care is a losing issue for them.

Despite three unsuccessful GOP-led attempts to repeal the ACA through the courts, including one supported by Trump in 2020, Trump's recent statements have reignited the health care debate. However, this move could backfire for Republicans, as the ACA has become deeply ingrained in the U.S. health system over the past thirteen years and enjoys widespread popularity. Approximately 60 percent of adults now hold a favorable opinion of the ACA, according to a KFF tracking poll.

In response to Trump's remarks, Biden campaign spokesman Ammar Moussa emphasized the White House's willingness to make the ACA a central point of their reelection campaign. Moussa pointed out that over 40 million people, more than 1 in 10 Americans, currently have health insurance due to the ACA. Moussa also highlighted Trump's previous near-success in repealing the law and suggested that he would aim to do so again if given the opportunity.

Moussa warned of the potential consequences of a Trump presidency, stating that "Donald Trump's America is one where millions of people lose their health insurance and seniors and families across the country face exorbitant costs just to stay healthy. Those are the stakes next November."

As the 2024 presidential election approaches, the debate on health care and the fate of the ACA is likely to intensify, with Trump's rekindled push for repeal and replace policies garnering attention from both supporters and opponents.